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[Eagle syndrome: diagnostic imaging and therapy].

Jens Nickel1, Michael Sonnenburg, Oliver Scheufler

  • 1Abteilung für Bildgebende Diagnostik und Interventionelle Radiologie, Güstrower Krankenhaus, Akademisches Lehrkrankenhaus der Universität Rostock. jnickel@krankenhaus-guestrow.de

Rontgenpraxis; Zeitschrift Fur Radiologische Technik
|April 29, 2004
PubMed
Summary

Eagle syndrome, characterized by dysphagia and neck pain, is diagnosed using advanced imaging like CT scans. Surgical resection of the elongated styloid process (megastyloid) effectively resolves symptoms, offering a definitive treatment for this condition.

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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Diagnostic Imaging

Background:

  • Eagle syndrome presents with symptoms including dysphagia, foreign-body sensation, and chronic neck/facial pain.
  • These symptoms necessitate consideration in differential diagnoses for ear-related pain and swallowing difficulties.

Purpose of the Study:

  • To elucidate rational diagnostics and therapy for Eagle syndrome.
  • To present findings from four case reports detailing diagnosis and treatment outcomes.

Main Methods:

  • Clinical evaluation including palpation and response to local anesthesia.
  • Initial imaging with cranial survey radiograms and OPTG.
  • Advanced imaging using axial spiral-CT with thin-layer technique and 3-D reconstruction.
  • Surgical intervention via elective resection with a lateral external incision.

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Main Results:

  • Imaging revealed hypertrophic styloid processes (megastyloid) in all patients.
  • CT scans with 3-D reconstruction precisely determined the spatial orientation and size (51-58 mm) of the megastyloid.
  • Complete symptom resolution was achieved post-resection.

Conclusions:

  • Spiral-CT with 3-D reconstruction is the preferred method for accurate megastyloid diagnosis.
  • Surgical resection of the megastyloid via a lateral external approach is the therapy of choice for Eagle syndrome.